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A pterygium is a growth that develops on the conjunctiva or mucous membrane that covers the white part of the eye. It is a benign or noncancerous growth that is often shaped like a wedge. In some cases, a pterygium can extend to the cornea. A pterygium usually doesn’t cause problems or require treatment, but it can be removed if it interferes with vision. The exact cause of pterygium isn’t known but one explanation is that too much exposure to ultraviolet light can lead to these growths (Healthline.com).This book is a comprehensive guide to the diagnosis and management of pterygium.Divided into four main sections, the book begins with an introduction to pterygium, and its etiopathogenesis, possible causes and diagnosis.The following sections explain numerous surgical techniques for its management, covering both traditional and newer procedures; and treatment of recurrent pterygium.The final section describes challenging situations in the management of pterygium including post surgical complications, and its treatment with co-existing disorders such as cataract, glaucoma, and corneal opacity.The text is highly illustrated with clinical photographs and is accompanied by an interactive DVD ROM.Key PointsComprehensive guide to the diagnosis and management of pterygiumCovers both traditional and newer surgical techniques, and recurrent pterygiumDiscusses post surgical complications and treatment with co-existing disordersIncludes interactive DVD ROM
Tushar Agarwal MDAdditional Professor Shikha Gupta MDSenior Research AssociateNamrata Sharma MDProfessorAll at Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Section I: Pterygium: The What, Why And When?Etiopathogenesis of PterygiumWorkup of a Case of Pterygium Section II: Surgical Management of PterygiumPterygium Excision with Conjunctival Autografting Using GluePterygium Excision with Conjunctival Autograft (Suture Technique)Conjunctival Excision and Extended Tenectomy with Conjunctival Autograft for Primary PterygiumPterygium Excision with Inferior Conjunctival Auto graftingPterygium Excision with Narrow-strip Conjunctival AutograftConjunctival Excision with Autograft Using Sandwich TechniquePterygium Surgery with Autograft Affixation Using BloodPterygium Excision by Mini-flap TechniqueConjunctival Excision with Amniotic Membrane Grafting with or without SuturesMinor Ipsilateral Simple Limbal Epithelial TransplantationAntimetabolites in Pterygium ManagementAntivascular Endothelial Growth Factor AgentsAdjunctive Therapy in Pterygium Management Section III: Management of Recurrent PterygiumConjunctival Excision with Limbal Conjunctival Autograft or Amniotic Membrane Grafting, with or without Mitomycin-C in Recurrent PterygiumCombined Ipsilateral Autologous Limbus and Homologous Amniotic Membrane Transplantation for Recurrent SymblepharopterygiumSealing the Gap for Managing Pterygium Section IV: Challenging Situations in Pterygium ManagementDouble-headed Pterygium: Split Conjunctival GraftsManagement of Pterygium with Coexisting CataractManagement of Corneal Opacity after Pterygium SurgeryManagement of Pterygium with other Coexisting Ocular Surface ConditionsPterygium and GlaucomaComplications after Pterygium SurgeryAutologous Advanced Tenon Grafting Combined with Conjunctival Flap for ScleromalaciaTectonic Lamellar Graft in Post Pterygium Surgery Corneoscleral Melt Index
Douglas Bourn, Namrata Sharma, Mirian Vilela, UK) Bourn, Douglas (University College London, USA) Sharma, Namrata (State University of New York, Costa Rica) Vilela, Mirian (Earth Charter International